PRESENTED

BY

JUST ANOTHER GROUP
Dental Care Needs in
Montcalm County
Unmet dental care needs affect
more than what your teeth look
like.
When thinking of
unmet healthcare
needs many people
think of things like
mental health,
maternal and
newborn needs, and
risks of diseases. One
need that is often
overlooked is dental
care, even though
poor dental care can
lead to major health
concerns. Our group
chose to focus on the
unmet dental care
needs of Montcalm
County.
Assessment Findings
Mid-Michigan Health Department (MMHD), in
response to legislation by the Affordable Care Act,
encouraged the three Montcalm County Health
Systems (Carson City Hospital, Spectrum Health
United/Kelsey, and Sheridan Community Hospital)
along with Cherry Street-Montcalm Area Health
Center to collaborate together and complete a
comprehensive community health assessment.
For completing the Health Assessment, Montcalm
was awarded the Rural Health Network Developing
planning grant.
Assessment Findings
The 2011 Montcalm Community Survey results
indicate that only 62% of adults had received an oral
exam or dental cleaning in the past two years
(compared to 61.6% nationally), this number fell to
41% for adults that were uninsured.
This assessment also asked respondents to rank
whether certain healthcare issues were serious or
moderate according to their personal perception,
dental access ranked 32.4%.
Analysis of Assessment Findings
PA161, which is a Public Dental Prevention Program,
allows the use of dental hygienists in collaboration
with a supervisory dentist to provide preventative
dental services to underserved populations in
Michigan.
Areas such as schools, head starts, and long term
care facilities are the areas underserved. This
program provides cleanings, fluorides and sealants.
Analysis of Assessment Findings
Montcalm County offers dental services to those with
special needs, such as; low income, patients on
Medicaid, those with no insurance, those who are
homebound or in nursing homes, and those in need
of dental care that otherwise could not afford it.
Other areas of concern are education regarding soda
and tooth decay and smoking and its effect on teeth.
Community Health Nursing Diagnosis
Risk of dental caries and oral and pharyngeal
cancers.
Among children and adults living in Montcalm
county.
Related to lack of preventative dental care for kids
and for uninsured adults.
As demonstrated by The 2011 Montcalm Community
Survey results- only 41% of uninsured adults had
received an oral exam or dental cleaning in the past
two years, compared to 61.6% nationally.
SMART Goal
Increase the percentage of persons living in
Montcalm County who have access to dental care by
10% over the next 2 years as evidenced by improved
rates in Montcalm County as compared to the
Michigan rate published in the District 10
community assessment report.
Interventions
Planning
Community Health Assessment
Montcalm County Profile 2011

Access to dental care
Health insurance
Preventative dental care
Education

Evaluation
I would expect dental health to improve within the next two
years.
By providing dental assessments, referrals and vouchers can be
made for those who are at risk for cavities, infections, and oral
cancers.
Reduction in the number of cavities and oral cancers.
See an increase in the number of craniofacial protectors
purchased and used in contact sports.
See an increase in the number of MI residents who have seen a
dentist in the next two years. (Kaiser Family Foundation)
Encourage use of available dental clinics for low-income
residents
Available Services
Ferris State University Dental Hygiene Clinic
Available September through April (231) 591-2260

MCDC Sidney Clinic (989) 328-2200
Two plans available if pt. does not have Medicaid starting
as low as $50. For more info visit www.midental.org
Policy and Theory
Theory of Reasoned
Action
Based on attitude and
belief.
Societal influence plays
a big role
Ferris State University
Dental Hygiene HIPAA
Policies and Procedures
American Dental
Association
Nursing Theorist Betty
Neumann tells us:
"Health is a condition
in which all parts and
subparts are in
harmony with the
whole of the client.
Using this theory we
are able to recognize
that prevention and
wellness are important
in healthcare. Assisting
with unmet dental care
needs is just one way to
do this.
Conclusion
References
American Dental Association. (2009). ADA positions,
policies and statements.
http://www.ada.org/~/media/ADA/About%20the%2
0ADA/Files/statements_ethics_patient_rights.ashx
Ferris State University. N.d. Dental Hygiene Clinic.
http://www.ferris.edu/HTMLS/colleges/alliedhe/De
ntalHygiene-MedicalImaging/dental-
hygiene/Dental-Hygiene-Clinic.htm
References
Ferris State University. (2014). Dental Hygiene HIPPA
Policy and Procedures.
http://www.ferris.edu/HTMLS/colleges/alliedhe/Dental
Hygiene-MedicalImaging/dental-
hygiene/HIPAA_MANUAL_2014.pdf
Harkness, G.A., & DeMarco, R.F. (2012). Community and
public health nursing: Evidence for practice.
Philadelphia, PA: Wolters Kluwer Lippincott Williams &
Wlikins
Malinski, V. (2003). Research issues. Nursing research
and nursing conceptual models: Betty Neuman's
Systems Model. Nursing Science Quarterly, 16(3), 201.

References
Mid-Michigan District Health Department. (2011).
Community Health Assessment; Montcalm County
Health Profile 2011. Retrieved July 24, 2014
Mid Michigan Community Dental Clinics (MCDC).
(2012). About us. http://midental.org
Michigan Oral Health Plan. (2010). In Michigan
Department of Community Health. Retrieved July
24, 2014, from www.michigan.gov/mdch
Kaiser Family Foundation. (2014). State health facts:
Michigan health status. http://kff.org/state-
category/health-status/?state=MI
References
Truman, B., Gooch, B., Sulemana, I., Gift, H., Horowitz, A.,
Evans, C., et al. A comparison of selected evidence
reviews and recommendations on interventions to
prevent dental caries, oral and pharyngeal cancers, and
sports-related craniofacial injuries. American Journal of
Preventive Medicine, 23, 55-80
U.S Department of Health and Human Services. (2013).
Health, United States, 2013; With Special Feature on
prescription drugs. In . (Ed.). Retrieved July 24, 2014
Yu, S., Bellamy, H., Kogan, M., Dunbar, J., Schwalberg, R.,
Schuster, M. (2002). Factors that influence receipt of
recommended preventive pediatric health and dental
care. Pediatrics. 110(6).